Ep 58: Iora Health Former CEO Rushika Fernandopulle on Current State of Value Based Care Across Payer Types and AI’s Role in Primary Care

Jacob and Nikhil sit down with Dr. Rushika Fernandopulle. Rushika is the former CEO and Co-Founder of Iora Health, a primary care provider centered around value-based care and Medicare that One Medical acquired for $2.1 billion. They discuss why we’re still in the second inning of value-based care, intersections of tech and healthcare, what it takes for VBC to succeed, and more.

[0:00] Intro
[0:29] Early Days of Value-Based Care
[2:34] Challenges in Commercial Value-Based Care
[5:20] Adapting Care Models for Different Populations
[13:08] Medicaid and Long-Term Care Issues
[16:30] Big Tech's Foray into Healthcare
[20:37] Amazon's Healthcare Strategy
[21:09] Challenges in Serving Low-Income Seniors
[21:43] Innovative Solutions for Patient Transportation
[22:16] The Economics of Healthcare Visits
[23:22] Building a Custom EHR System
[27:34] The Role of AI in Modern Healthcare
[33:17] Future of Primary Care and Policy Implications

Out-Of-Pocket: https://www.outofpocket.health/